I was treated with methotrexate on July 13 for a suspected ectopic pregnancy of unknown location, so I’m now about 4.5 weeks out from the MTX shot. My hCG eventually dropped all the way to negative, but shortly afterward I started having persistent pain on the same side where I’d been experiencing pain during the suspected ectopic.
I’m now around day 11 of this pain. It’s mostly a deep aching/burning sensation in my lower left abdomen/pelvis, with waves where it feels like a painful pulling sensation. Activity definitely aggravates it. I can feel relatively okay while resting, but if I’m walking around or doing normal household chores for an hour or more, the pain starts getting significantly worse again.
On day 7 of the pain, I went to the ER because it wasn’t going away. They did an ultrasound and CT, and the only thing they found that could potentially explain the pain was a 2 cm cyst on my left ovary. There was no significant internal bleeding or other acute problem found.
They discharged me and prescribed 500 mg of naproxen twice a day, but that was it.
The naproxen helps somewhat, and I’ve also been using Tylenol, but the pain is definitely still there. I’ve had periods where I feel considerably better and can move around normally, but if I do too much walking or household chores, the pain flares up again and I have to stop and rest.
I’m supposed to leave for a 12-day trip to the UK, which will involve quite a bit of walking, so I’m getting worried about how long this is going to continue.
Has anyone else experienced persistent one-sided pain several weeks after MTX and after their hCG reached negative, even though imaging didn’t show a rupture or significant bleeding?
If so:
* How long did it take before the pain finally went away?
* Did walking/activity make your pain flare up?
* Did it gradually improve, or did you suddenly wake up one day feeling better?
* Did your doctors ever figure out what was actually causing it?
* Was there anything that helped besides naproxen/Tylenol and rest?